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Procedure Authorization Specialist

πŸ”₯ 22 minutes ago

🌡 Arizona – Remote

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⏰ Full Time

🟒 Junior

🟑 Mid-level

πŸš«πŸ‘¨β€πŸŽ“ No degree required

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Logo of Healthcare Outcomes Performance Co. (HOPCo)

Healthcare Outcomes Performance Co. (HOPCo)

1001 - 5000 employees

πŸ₯ Healthcare

☁️ SaaS

🀝 B2B

πŸ’° Private equity on 2019-02

Healthcare β€’ SaaS β€’ B2B

Healthcare Outcomes Performance Company (HOPCo) is the largest orthopedic musculoskeletal (MSK) value-based care organization in the U. S. It is physician-led and provides comprehensive MSK care delivery and management services: advanced practice management, health system MSK service-line optimization and market transformation, payor solutions, and practice partnerships. HOPCo operates a URAC-accredited MSK clinically integrated network, runs population health and value-based care programs, and offers digital patient engagement, outcomes reporting, and analytics platforms to align stakeholders, improve outcomes, and reduce total cost of MSK care.

πŸ“‹ Description

β€’ Monitors the authorizations of upcoming surgical cases. β€’ Verifies patient demographic information and insurance eligibility. β€’ Accurately completes surgical cost analysis form. β€’ Verifies benefits on all surgical procedures. β€’ Documents authorizations and progress of authorizations in the patient’s chart. β€’ Communicates effectively with physicians, patients, and co-workers. β€’ Participates in providing ongoing training and education of staff.

🎯 Requirements

β€’ High school diploma/GED or equivalent working knowledge preferred. β€’ A minimum of 2 years of experience in the healthcare field is required. β€’ Previous experience in referrals/authorizations, front office, and/or charge posting is preferred. β€’ Excellent organizational skills and strong customer service orientation are required. β€’ Strong background in computers and data entry.

πŸ–οΈ Benefits

β€’ Health insurance β€’ Paid time off

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